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<!DOCTYPE html>
<html lang="id">
<head>
<title>Form Pizza</title>
</head>
<body>
<h3>Black Goose Bistro | Pizza</h3>
<p>Build your custom pizza and we'll deliver it within and hour.</p>
<br>
<p>Your Information</p>
<form action="http://blackgoosebistro.com/pizza.php" method="POST">
Name : <input type="text" name="name" placeholder="name">
<br>
Address : <input type="text" name="alamat" placeholder="address">
<br>
Phone : <input type="text" name="phone" placeholder="phone">
<br>
Email : <input type="text" name="email" placeholder="email">
<br>
<p>Delivery Intructions :</p>
<textarea name="Delivery Intructions" cols="30" rows="6"></textarea>
<p>Design Your Pizza</p>
<p>Pizza Specs</p>
<br>
<p>Curst (Choose One) :</p>
<input type="radio" value="white">White<br>
<input type="radio" value="multigrain">Multigrain<br>
<input type="radio" value="cheese-stuffed curst">Cheese-stuffed Curst<br>
<input type="radio" value="gluten-free">Gluten-Free<br>
<p>Toppings (Choose as many you want) :</p>
<ol>
<input type="checkbox" id="vehicle1" name="vehicle1" value="sauce"
<label for="vehicle1">Red Sauce</label>
<br>
<input type="checkbox" id="vehicle1" name="vehicle1" value="sauce"
<label for="vehicle1">White Sauce</label>
<br>
<input type="checkbox" id="vehicle1" name="vehicle1" value="Cheseee"
<label for="vehicle1">Mozzarella Chesee</label>
<br>
<input type="checkbox" id="vehicle1" name="vehicle1" value="Pepperoni"
<label for="vehicle1">Pepperoni</label>
<br>
<input type="checkbox" id="vehicle1" name="vehicle1" value="Mushroom"
<label for="vehicle1">Mushroom</label>
<br>
<input type="checkbox" id="vehicle1" name="vehicle1" value="Pepper"
<label for="vehicle1">Pepper</label>
<br>
<input type="checkbox" id="vehicle1" name="vehicle1" value="Anchoise"
<label for="vehicle1">Anchoise</label>
<br>
</ol>
<input type="submit" value="submit">
<p>Number</p>
<label>How many pizza : <input type="Number" name="pizza" min="1" max="6"></label>
<p><input type="submit" value="bring me a pizza!"><input type="reset" value="reset"></p>
</body>
</html>